Back to Function Home Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT010623L Issued in PA

Legal business name

BACK TO FUNCTION HOME PHYSICAL THERAPY LLC

Practice address

49 Sailfish Dr
Brigantine, NJ 08203-1347

Phone

(856) 904-5361

NPI assigned

Nov 2, 2008

Last updated

Oct 22, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark D Zamerowski, MPT, MBA

Title

Owner

Phone

(856) 904-5361

Specialties & licenses 2

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1750534814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 N 2ND ST APT 304",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233031",
            "telephone_number": "856-904-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 SAILFISH DR",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082031347",
            "telephone_number": "856-904-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO FUNCTION HOME PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-02",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "ZAMEROWSKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-904-5361",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT, MBA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT010623L",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00700300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "143586",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "152995",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Guy Amalfitano, DPT, ATC
• Atlantic Brigantine Chiropractic
• Atwater Inc
• Becker Nutrition LLC
• Michael E Becker, RD
• Board of Education City of Brigantine
• Brigantine Eye Care Center
• Brigantine Medical Group PA

• Physical Therapy Clinic/Center in Brigantine, NJ
• Providers in Brigantine, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.